Alan H. Daniels, MD

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133 appearances 1 recordings 1 series first heard Jan 2026 last heard 30 Jan

Alan H. Daniels, MD’s voice in public audio — every appearance, attributed to the second.

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Becker’s Healthcare -- Spine and Orthopedic Podcast · Private Practice, Academics, and the Future of Spine Surgery with Alan H. Daniels, MD · 30 Jan 2026 podcast

I have employees who I give a raise to every year, of course, because they deserve it and they need it and they work very hard.

But if reimbursement keeps getting cut by the insurance companies, at some point, that is a problem because the money's got to come from somewhere.

And so clearly, we can find ancillary revenue streams and other ways to continue making sure to have a viable business.

But that headwind itself

is the one that's at the forefront of many of our minds that we really just have to keep a very close eye on it, carefully monitor it, and have short-term and long-term plans to deal with it.

But the problem is, since so much of it is out of our control, if the federal government were to cut reimbursement drastically, that's just a budget problem that happens immediately that has to be resolved.

Growth is always challenging for me, for example, because I'm a very busy spine surgeon who's been busy for a number of years.

So I can't just think about growing by doing more cases because that really can't be done.

And one interesting thing about a busy spine practice is you also can't just grow by seeing more patients.

because you have to be very careful, especially if you have a mature spine practice.

If you see more patients, there will be more surgeries that come through and you won't have time to do them, at least not in a timely manner.

At least in this country, we tend to try to give people surgery within a reasonable amount of time.

Spine patients are in a lot of pain.

If you tell them they have to wait three months or six months for surgery, that, I mean, it's just not compassionate to the patient, number one, and it may not be tenable to a practice.

And so I think

at least in terms of our practice, we've thought about growth in a number of ways.

Number one is that we have grown by hiring multiple young spine surgeons and then putting them out into nearby communities that have need.

there's data that's been published multiple times it says the volume of spine surgery is directly correlated to the number of spine surgeons rather than the number of patients who need spine surgery and so we've been careful to try not to just hire spine surgeons and put them in relatively saturated areas but to find hospitals hospital systems and regions that

really have deficient spine care.

You know, the patients are currently having to travel long distances and to try to give them service right in their backyard.

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